That’s why, after decades of failed attempts to right this wrong, the establishment of Medicare and Medicaid wasn’t just health care reform, it was a turning point in our nation’s history.

When he signed that legislation 49 years ago last week, President Lyndon Johnson spoke for the entire nation, saying, “No longer will older Americans be denied the healing miracle of modern medicine. No longer will illness crush and destroy the savings that they have so carefully put away over a lifetime so that they might enjoy dignity in their later years.”

After a lifetime of contributing so much to our nation, our seniors deserve to be able to live out their years with the dignity, security and peace of mind that comes with enrollment in Medicare.

We can do no less for the millions of vulnerable families, children, seniors and individuals living with disabilities than provide access to quality health care through Medicaid, as well.

Today, Medicare and Medicaid are arguably our country’s single most important anti-poverty initiatives.

As we celebrate their 49th anniversary, 52 million people are covered by Medicare and more than 60 million people by Medicaid.

More than ever, we are committed to making health coverage more accessible and affordable for all Americans, while continuing to improve the quality of care. We are making significant progress on that commitment and seeing incredible results.

In fact, last week, the Department of Health and Human Services reported Medicare is considerably stronger than it was four years ago when President Obama signed the Affordable Care Act. Medicare is more solvent. It’s more cost effective. And it’s delivering high-quality care for our parents, grandparents, aunts and uncles.

Just a few years ago, the Medicare Trust Fund was projected to run out of money by 2017. Now, thanks in part to the Affordable Care Act, we’ve extended the life of the fund through 2030. Medicare spending per beneficiary is growing slower than the growth in the economy.

For beneficiaries, that means the trust fund and their benefits are more secure.

For taxpayers, a strong trust fund means it will be there in the future for new seniors.

Forty-nine years ago, we came together to declare that we, as a nation, owed our parents, grandparents, children and our most vulnerable neighbors better than health uncertainty and insecurity.

Our work to keep Medicare and Medicaid strong for all future generations is not over, but we remain committed to that sacred promise.

Working together, we can ensure that all Americans have the medical care they need to live with the security and dignity they deserve.

This is the opinion of Kathleen Falk, regional director of Region V of the U.S. Department of Health and Human Services in Chicago, which includes Minnesota, Wisconsin, Illinois, Indiana, Ohio and Michigan. A version of this commentary was distributed to other media statewide.